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Montgomery County summit responds to transgender health care challenges 

Council Vice President Kate Stewart’s son is trans

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Montgomery County Council Vice President Kate Stewart (Public domain photo)

Maryland earns high marks overall from the Movement Advancement Project for its LGBTQ policy protections, including becoming a “shield” state for transgender health care, but a Montgomery County survey that found trans youth face difficulties in accessing care prompted Council Vice President Kate Stewart and a county health nonprofit to convene a virtual roundtable on Saturday. 

“My son transitioned when he was in high school and our local pharmacy regularly did not have the correct size syringes,” Stewart told the Washington Blade during a telephone interview. “I had to take off from work and drive from Takoma Park to Chase Brexton in Howard County. That’s not a quick drive, and not accessible by public transportation.” 

She said Trans Maryland’s work helped make syringes more available now, but more needs to be done to increase access to equitable care at the local level. 

Maryland is one of 15 states, along with D.C., to which the Movement Advancement Project gave a high overall score for its LGBTQ policies. In terms of trans health care equity, 22 states have banned medically advised care for transitioning youth as of 2023, with Missouri banning similar care for adults. In response, D.C. and 14 states, including Maryland, enacted “shield” laws to protect equal access to health care.  

Maryland’s Trans Health Equity Act, effective Jan. 1, requires Medicaid to cover trans-affirming care. However, a Montgomery County survey found 41 percent of those needing such care reported difficulty finding it in the county.

While the report listed three clinics — Planned Parenthood, Mary’s Center and CCI Health Services — trans residents were unaware of their services or where to look for them locally. More familiar were services provided by Chase Brexton Health and Johns Hopkins in Baltimore, and D.C.’s Whitman-Walker Health, mostly due to their long histories of work and advocacy across the region. But for the gender-diverse leaders on the panel, equity meant having local access to health care.

“Those without transportation or wealth aren’t able to receive transition health care in their community,” said Rev. Ali K. C. Bell, a minister for Congregational Life at Cedar Lane Unitarian Universalist Church. 

Bell said he was privileged to be able to travel to Baltimore for the health care he needed but was disappointed by the economic disparity. 

CCI Health Services, a community health center with a decades-long history in the area, joined with Stewart in hosting the roundtable to address the issues raised by the report. 

CCI Chief Medical Officer Dr. Will Giodano-Perez announced a new clinic specializing in sexual and minority health, but acknowledged more could be done to address legacy discrimination and abuse. 

“Our mission is to promote excellent health care for everyone,” Giodano-Perez said. “We have to be aware of what kinds of conversations we are not having with our patients and to focus on [addressing] our own biases.”

Trans Maryland Executive Director Lee Blinder spoke of their experiences often educating health care professionals while being treated. 

“One day I’m going to invoice that doctor about ‘training’ them on how to treat me and others like me,” said Blinder, who grew up in Montgomery County. “I’d like to have a provider that I don’t have to train. When you’re sitting there in that paper gown, you’re vulnerable.” 

Bell also emphasized everyone in the provider’s office needs to be trained in order for the health care experience to be considered affirming. Looking to the future, Amena Johnson, the LGBTQ liaison for the Montgomery County Office of Community Partnerships, stated that health disparities faced by LGBTQ seniors should be addressed as well. 

“We are not all children or young people. I hope to be an old trans person one day, and it doesn’t look like a great landscape, frankly,” Blinder said before relaying an experience about visiting their grandmothers in retirement facilities and the care teams not being ready to interact with them as a trans grandchild, much less as a future trans resident. 

Giodano-Perez acknowledged the pain caused by these difficult health care experiences, but admitted one health organization cannot handle these issues alone and it would take involvement and support from the community. 

“We are limited with how much time we have,” he explained, noting the frustration of not being able to address all of the social determinants of health, but also not wanting to see “another of our patients pass from suicide.” 

He stated one place to start was to make care respectful and effective for everyone. 

“Sounds basic,” he said, “but we’re going to tackle these things.”

Stewart told the Blade her challenges seeking care for her son showed her health equity was about having access to resources where you lived.

“On a map it may look like, well, we have Chase Brexton over here and Whitman-Walker in D.C.,” she said, “but connecting with people’s everyday experiences … shows how much work we still have to do.”

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Maryland

Harford school board appeals state’s book ban decision to circuit court

5-2 ruling in response to ‘Flamer’ directive

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The book “Flamer” is by Mike Curato, who wrote about his experience being bullied as a kid for being gay. (Photo by Kristen Griffith for the Baltimore Banner)

By KRISTEN GRIFFITH | Marking a historic moment in Maryland’s debate over school library censorship, Harford County’s school board voted Thursday to appeal the state’s unprecedented decision overturning its ban of a young adult graphic novel, pushing the dispute into circuit court.

The 5-2 vote followed a recent ruling from the state board overturning Harford’s ban of the book “Flamer.” In a special meeting Thursday afternoon, board members weighed whether to seek reconsideration or take the matter to circuit court — ultimately opting to appeal.

The book “Flamer” is by Mike Curato, who wrote about his experience being bullied as a kid for being gay.

The rest of this article can be found on the Baltimore Banner’s website.

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Maryland

Salisbury, Md. rainbow crosswalk removed on Veterans Day

Mayor’s order denounced by LGBTQ activists as act of bigotry

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Salisbury Mayor Randy Taylor ordered the removal of the rainbow crosswalk. (Screen capture via PAC 14/YouTube)

Under the directive of its mayor and over strong objections from LGBTQ rights advocates and their supporters, the city of Salisbury, Md. on Nov. 11 removed a rainbow crosswalk from a prominent intersection across from the mayor’s office and the city’s public library. 

Salisbury LGBTQ rights advocate Mark DeLancey, who witnessed the crosswalk removal, said instead of painting over it as other cities have done in removing rainbow crosswalks, a powerful grinding machine was used to rip apart the asphalt pavement under the crosswalk in what he believes was an effort by the mayor to “make a point.”

Like officials in other locations that have removed rainbow crosswalks, Salisbury Mayor Randy Taylor said the crosswalk removal was required under U.S. Department of Transportation regulations put in place by the Trump administration that do not allow “political” messages on streets and roadways.

“Since taking office, I’ve been transparent about my concerns regarding the Pride crosswalks installed in Downtown Salisbury,” Taylor said in a statement. “While I have made every effort to respect the decisions of previous administrations and the folks that supported them, it has become clear that a course of correction – as planned – is necessary to align with current Department of Transportation standards for roadway markings,” he said in his Nov. 7 statement that was posted on the city’s Facebook page.

DeLancey is among the activists and local public officials in many cities and states that dispute that the federal Department of Transportation has legal authority to ban the Pride crosswalks. D.C. and the Northern Virginia jurisdictions of Arlington and Alexandria are among the localities that have refused to remove rainbow crosswalks from their streets.

“He decided to take this on himself,” DeLancey said of Taylor’s action. “It’s not a law. It’s not a ruling of any kind. He just said that was something that should happen.”

DeLancey points out that Salisbury became the first jurisdiction in Maryland to install a  rainbow crosswalk on a public street in September 2018.

“This is another blatant attempt by our Republican mayor to remove any references to groups that don’t fit with his agenda,” Salisbury LGBTQ advocate Megan Pomeroy told the local publication Watershed Observer. “The rainbow crosswalk represents acceptance for everyone. It tells them, ‘You matter. You are valued. You are welcome here,’” she was quoted as saying.

The publication Delmarva Now reports that a longtime Salisbury straight ally to the LGBTQ community named K.T. Tuminello staged a one-person protest on Nov. 10 by sitting on the sidewalk next to the rainbow crosswalk holding a sign opposing its removal.

“Tuminello said Nov. 10 he had been at the embattled crosswalk since 12 a.m. that morning, and only three things could make him leave: ‘I get arrested, I have to get into an ambulance because of my medical difficulties, or Randy Taylor says you can keep that one rainbow crosswalk,’” the Delaware Now article states.

DeLancey said he has known Tuminello for many years as an LGBTQ ally and saw him on the night he staged his sit-in at the site of the crosswalk. 

“I actually went to him last night trying to give him some water,” DeLancey told the Washington Blade. “He was on a hunger strike as well. He was there for a total of 40 hours on strike, not eating, no sleeping in the freezing cold” 

Added DeLancey, “He has been supporting our community for decades. And he is a very strong ally, and we love his contribution very much.”

Political observers have pointed out that Salisbury for many years has been a progressive small city surrounded by some of Maryland’s more conservative areas with mostly progressive elected officials.

They point out that Taylor, a Trump supporter, won election as mayor in November 2023 with 36.6 percent of the vote. Two progressive candidates split the vote among themselves, receiving a combined total of 70.8 percent of the vote.  

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Maryland

Democrats hold leads in almost every race of Annapolis municipal election

Jared Littmann ahead in mayor’s race.

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Preliminary election results from Tuesday show Democrats likely will remain in control of Annapolis City Hall. Jared Littmann thanks his wife, Marlene Niefeld, as he addresses supporters after polls closed Tuesday night. (Photo by Rick Hutzell for the Baltimore Banner)

By CODY BOTELER | The Democratic candidates in the Annapolis election held early leads in the races for mayor and nearly every city council seat, according to unofficial results released on election night.

Jared Littmann, a former alderman and the owner of K&B Ace Hardware, did not go so far as to declare victory in his race to be the next mayor of Annapolis, but said he’s optimistic that the mail-in ballots to be counted later this week will support his lead.

Littmannn said November and December will “fly by” as he plans to meet with the city department heads and chiefs to “pepper them with questions.”

The rest of this article can be read on the Baltimore Banner’s website.

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